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Watch April MPFS Update for NGACO Code Changes With a January Twist

18. March 2019

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Ready for some retroactive MPFS changes? The next Medicare Physician Fee Schedule update may have an April 1, 2019, implementation date, but the effective date is Jan. 1, 2019. The theme for the HCPCS codes involved is Next Generation Accountable Care Organization (NGACO) Model Post Discharge Home Visits. Remember: “MACs will not search their files […]

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6 Ways to Put Medical Office Biller to Work for You

11. March 2019

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Sifting through all the options for online coding and billing software can be a slog, so we put together an at-a-glance breakdown of the top points you need to know for Medical Office Biller! You may have expected MPFS tools, but did you know you get coding Survival Guides and a monthly practice management newsletter […]

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Look Ahead to These 3 Trends for April 2019 CCI Updates

4. March 2019

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Think Medicare’s April CCI updates are small potatoes? You may reevaluate that stance when you learn there are more than 11,000 additions planned for April 1, 2019. To help make it manageable, watch the three areas below. Our focus: The topic here is Medicare practitioner procedure-to-procedure (PTP) Correct Coding Initiative (CCI) edits that will be […]

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Primary Care and Specialists Need to Know These Twin Add-On Codes by 2021

28. January 2019

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The 2019 MPFS proposed rule discussed potential add-on G codes to represent E/M visit complexity. Here’s a quick look at the intent of the proposed codes and what the final rule had to say about their implementation in 2021. See What Happens to This Code for Specialists In the 2019 Medicare Physician Fee Schedule (MPFS) […]

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Outpatient Coders: Are These C Codes on Your Procedure Reporting List?

22. January 2019

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The HCPCS 2019 code set features several new C codes related to reporting procedures. If you use C codes, make sure you’ve got these updates on your radar. Reminder: HCPCS C codes are intended for use by Outpatient Prospective Payment System (OPPS) hospitals. The codes are used to report device categories, new technology procedures, and […]

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Say Cheese! Medicare Is Paying for Photo and Video Evals in 2019

17. January 2019

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If a picture is worth 1,000 words, how much is evaluating a picture worth? Medicare has taken a stance on that. As of Jan. 1, 2019, Medicare is paying for remote evaluation of pre-recorded patient videos and images reported using G2010. Here’s what we know from the Medicare Physician Fee Schedule Final Rule. Compare Our […]

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HCPCS 2019: Update CROS/BiCROS Hearing Device Codes for a Better Clinical Match

4. January 2019

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For those of you who report contralateral routing hearing aid devices (CROS/BiCROS), here’s what you need to know about the big makeover these codes got for 2019. Catch the Little Differences in Code Descriptors As noted in a previous blog post about HCPCS 2019, the hearing aid codes will test your ability to spot tiny […]

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HCPCS 2019: Get to Know New Code G2012 for Virtual Check-In

17. December 2018

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Payment for non-face-to-face communication with patients isn’t the most clear-cut topic. But with new 2019 HCPCS code G2012, you’ve got an intriguing option for virtual check-ins with Medicare patients. Ready to learn more? Dig In to the Long Descriptor for G2012 The first place to learn about the code is the long code descriptor: G2012 […]

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Black Friday Blog: 2 for 1 With 2019 HCPCS and CPT® News in 1 Post!

23. November 2018

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Does coding news get you super-excited, even on Black Friday? Well HCPCS 2019 is out for review, and CPT® 2019 already has errata posted. So here’s some news you can use for both code sets … when you get back to your regular work schedule after the holiday! Filter Through HCPCS Updates With These Areas […]

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PICC 2019: Move Point by Point Through Requirements for New and Revised Codes

8. November 2018

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What’s the word to know for CPT® 2019 PICC updates? Imaging! Make sure your documentation and coding are ready to handle these three revisions and two additions for peripherally inserted central venous catheters, effective Jan. 1, 2019. A tip for coding history buffs: The AMA CPT® Editorial Panel discussed these changes as far back as […]

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